Saha Shubhayu, Schramm Paul, Nolan Amanda, Hess Jeremy
Climate and Health Program, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS F59, Atlanta, GA, 30341, USA.
College of Public Health, Rhodes Hall, Health Sciences Campus, University of Georgia, Athens, GA, 30602, USA.
Environ Health. 2016 Nov 8;15(1):104. doi: 10.1186/s12940-016-0189-x.
Motor vehicle crashes are a leading cause of injury mortality. Adverse weather and road conditions have the potential to affect the likelihood of motor vehicle fatalities through several pathways. However, there remains a dearth of assessments associating adverse weather conditions to fatal crashes in the United States. We assessed trends in motor vehicle fatalities associated with adverse weather and present spatial variation in fatality rates by state.
We analyzed the Fatality Analysis Reporting System (FARS) datasets from 1994 to 2012 produced by the National Highway Traffic Safety Administration (NHTSA) that contains reported weather information for each fatal crash. For each year, we estimated the fatal crashes that were associated with adverse weather conditions. We stratified these fatalities by months to examine seasonal patterns. We calculated state-specific rates using annual vehicle miles traveled data for all fatalities and for those related to adverse weather to examine spatial variations in fatality rates. To investigate the role of adverse weather as an independent risk factor for fatal crashes, we calculated odds ratios for known risk factors (e.g., alcohol and drug use, no restraint use, poor driving records, poor light conditions, highway driving) to be reported along with adverse weather.
Total and adverse weather-related fatalities decreased over 1994-2012. Adverse weather-related fatalities constituted about 16 % of total fatalities on average over the study period. On average, 65 % of adverse weather-related fatalities happened between November and April, with rain/wet conditions more frequently reported than snow/icy conditions. The spatial distribution of fatalities associated with adverse weather by state was different than the distribution of total fatalities. Involvement of alcohol or drugs, no restraint use, and speeding were less likely to co-occur with fatalities during adverse weather conditions.
While adverse weather is reported for a large number of motor vehicle fatalities for the US, the type of adverse weather and the rate of associated fatality vary geographically. These fatalities may be addressed and potentially prevented by modifying speed limits during inclement weather, improving road surfacing, ice and snow removal, and providing transit alternatives, but the impact of potential interventions requires further research.
机动车碰撞是导致受伤死亡的主要原因。恶劣天气和道路状况有可能通过多种途径影响机动车死亡的可能性。然而,在美国,将恶劣天气状况与致命撞车事故相关联的评估仍然匮乏。我们评估了与恶劣天气相关的机动车死亡趋势,并呈现了各州死亡率的空间差异。
我们分析了美国国家公路交通安全管理局(NHTSA)1994年至2012年的死亡分析报告系统(FARS)数据集,该数据集包含了每起致命撞车事故报告的天气信息。对于每一年,我们估算了与恶劣天气状况相关的致命撞车事故。我们按月份对这些死亡事故进行分层,以研究季节性模式。我们使用所有死亡事故以及与恶劣天气相关的死亡事故的年度车辆行驶里程数据,计算各州特定的死亡率,以研究死亡率的空间差异。为了调查恶劣天气作为致命撞车事故独立风险因素的作用,我们计算了已知风险因素(如饮酒和吸毒、未使用安全带、驾驶记录差、光照条件差、在高速公路上驾驶)与恶劣天气一同报告的比值比。
1994年至2012年期间,总死亡人数和与恶劣天气相关的死亡人数均有所下降。在研究期间,与恶劣天气相关的死亡人数平均约占总死亡人数的16%。平均而言,65%与恶劣天气相关的死亡事故发生在11月至次年4月之间,报告的降雨/潮湿状况比降雪/结冰状况更为频繁。各州与恶劣天气相关的死亡事故的空间分布与总死亡事故的分布不同。在恶劣天气条件下,饮酒或吸毒、未使用安全带以及超速与死亡事故同时发生的可能性较小。
虽然美国大量机动车死亡事故都报告了恶劣天气情况,但恶劣天气的类型和相关死亡率在地理上存在差异。通过在恶劣天气期间修改限速、改善路面状况、除冰除雪以及提供公共交通替代方案,可以应对并有可能预防这些死亡事故,但潜在干预措施的影响需要进一步研究。